ECISD Band COVID-19 Self Screener
Please complete this form prior to entry into any district building. This form must be completed weekly by all students attending band camp and summer skill sessions. This is a self-screening tool to help you determine your health and if you should be in public. Answering yes or indicating symptoms should be reported immediately to the band director.
First & Last Name
Please check the following section that applies to you:
Student ID (or Adult birthdate: month & date, no year)
In the last 14 days, have you had close contact with a person who is lab confirmed to have COVID-19?
Do you currently have any of the following symptoms?
Shortness of breath or difficulty breathing
Repeated shaking with chills
Loss of taste or smell
Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit
None of the above
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This form was created inside of East Central ISD.